GRAYSTONE EYE SURGERY CENTER LLC· HICKORY, NC

Ambulatory surgery center

2424 CENTURY PL SE, HICKORY, NC 28602

Procedures offered

956 total

Procedure	Min	Avg	Max
Cardiopulmonary exercise test CPT 94621 • Pulmonology	$102	$102	$102
Nebulizer inhalation treatment CPT 94640 • Pulmonology	$9	$10	$11
Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology	$21	$22	$23
Plethysmography lung volumes CPT 94726 • Pulmonology	$14	$14	$14
Gas dilution lung volumes CPT 94727 • Pulmonology	$38	$38	$38
Diffusing capacity (DLCO) CPT 94729 • Pulmonology	$55	$55	$55
Pulse oximetry single measurement CPT 94760 • Pulmonology	$3	$3	$3
Pulse oximetry continuous overnight CPT 94762 • Pulmonology	$29	$29	$29
Radiation therapy planning simple CPT 77261 • Radiation Therapy	$78	$78	$78
Radiation therapy planning intermediate CPT 77262 • Radiation Therapy	$119	$119	$119
Radiation therapy planning complex CPT 77263 • Radiation Therapy	$184	$184	$184
Radiation therapy simulation simple CPT 77280 • Radiation Therapy	$99	$173	$247
Radiation therapy simulation complex CPT 77290 • Radiation Therapy	$157	$273	$389
3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy	$204	$357	$521
Radiation therapy dose calculation CPT 77300 • Radiation Therapy	$36	$41	$46
IMRT radiation therapy plan CPT 77301 • Radiation Therapy	$1,016	$1,266	$1,516
Radiation treatment device design complex CPT 77334 • Radiation Therapy	$67	$77	$88
Radiation physics consultation CPT 77336 • Radiation Therapy	$35	$76	$99
Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy	$2,463	$2,463	$2,463
Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy	$1,056	$1,056	$1,056
Radiation treatment delivery superficial CPT 77407 • Radiation Therapy	$59	$146	$196
Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy	$100	$172	$244
Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy	$209	$209	$209
Radiation therapy management complete course CPT 77431 • Radiation Therapy	$118	$118	$118
Proton beam treatment simple CPT 77520 • Radiation Therapy	$703	$806	$908
Proton beam treatment complex CPT 77523 • Radiation Therapy	$919	$952	$988
Polysomnography under age 6 CPT 95782 • Sleep Medicine	$989	$989	$989
Polysomnography under age 6 with CPAP CPT 95783 • Sleep Medicine	$160	$160	$160
Sleep study unattended CPT 95800 • Sleep Medicine	$47	$47	$47
Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine	$66	$66	$66
Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine	$501	$501	$501
Polysomnography age 6 or older CPT 95810 • Sleep Medicine	$726	$726	$726
Polysomnography with CPAP titration CPT 95811 • Sleep Medicine	$759	$759	$759
CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine	$58	$58	$58
Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine	$462	$462	$462
CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine	$134	$134	$134
Laparoscopic partial nephrectomy CPT 50543 • Urology	$540	$3,328	$10,160
Laparoscopic radical nephrectomy CPT 50545 • Urology	$540	$3,003	$10,160
Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology	$1,425	$4,045	$16,257
Complex uroflowmetry CPT 51741 • Urology	$12	$133	$330
Post-void residual urine measurement CPT 51798 • Urology	$19	$135	$330
Cystourethroscopy diagnostic CPT 52000 • Urology	$319	$3,177	$19,682
Cystourethroscopy with tumor fulguration small CPT 52234 • Urology	$540	$5,763	$28,516
Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology	$540	$10,111	$45,983
Cystourethroscopy with dilation of ureteral stricture CPT 52260 • Urology	$534	$5,446	$28,516
Cystourethroscopy with ureteral stent insertion CPT 52332 • Urology	$106	$4,818	$28,516
Cystourethroscopy with lithotripsy CPT 52353 • Urology	$540	$9,032	$33,816
TURP transurethral resection of prostate CPT 52601 • Urology	$540	$6,952	$33,816
Laser vaporization of prostate CPT 52648 • Urology	$540	$10,613	$49,896
Circumcision CPT 54150 • Urology	$397	$3,533	$19,682